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Gluconeogenesis

GLUCONEOGENESIS
  • Synthesis of glucose from non-carbohydrate precursors
  • Occurs mostly in the liver and minor process in kidney
  • Kidney produces 10% total glucose during overnight fast
THREE KEY SUBSTRATES 1. Lactate: enters pathway via pyruvate
  • Produced by exercising muscle and red blood cells
  • Reconverted to pyruvate in liver
2. Glycerol: enters via DHAP
  • TAG hydrolyzes to glycerol in adipose tissue
  • Liver converts glycerol to DHAP in 2 step reaction
3. Amino acids: enter via pyruvate or citric acid cycle intermediates
  • Major source of glucose during extended fast
  • Muscle tissue hydrolysis releases glucogenic AA during fast
  • AA produce alpha-ketoacids in the liver: enter CAC or gluconeogenesis
ESSENTIAL FUNCTIONS OF GLUCONEOGENESIS
  • Clears blood lactate from red blood cells and exercising muscle
  • Maintains blood glucose during high fat diet or fast
ENZYMES UNIQUE TO GLUCONEOGENESIS
1. Pyruvate carboxylase (mitochondrial matrix)
  • converts pyruvate to oxaloacetate
  • Requires 1 ATP, biotin and 1 CO2
2. Phosphoenol carboxykinase (cytosol)
  • Preceded by malate shuttle (1 NADH consumed and 1 NADH produced)
  • Converts oxaloacetate to phosphoenolpyruvate (PEP)
  • Consumes 1 GTP and releases 1 CO2
PEP converted to glyceraldehyde 3-phosphate in 4 reversible reactions: 1 ATP and 1 NADH consumed (double energy inputs, substrates and products)
Glyceraldehyde 3-phosphate reversibly combines w/ DHAP to form fructose 1,6-bisphosphate
3. Fructose 1,6-bisphosphatase (cytosol)
  • Produces fructose 6-phosphate
  • Consumes 1 H20 and releases 1 Pi
Fructose 6-phosphate reversibly converts to glucose 6-phosphate
4. Glucose 6-phosphatase (ER membrane-bound)
  • Translocates glucose 6-phosphate to the ER lumen and removes Pi
  • Consumes 1 H2O
ENERGY REQUIREMENTS: (1 ATP + 1 GTP + 1 NADH + 1 ATP) x 2 = 4 ATP + 2 GTP + 2NADH